Contact/Supervisor Requesting User Account Creation:
»

Contact Phone Number:
» - -

Contact Location:
»

Department/Practice:
»

Name of new employee with correct spelling, please:
»First Name:
»Last Name:

Is new employee a transfer from another Harvard department?
» Yes   No

If Yes, in what department did employee previously work?

Employee Start Date (mm/dd/yy):

» - -

Note: If new user is a consultant or temporary worker, please enter an end date below.

End Date(mm/dd/yy):

- -

Location/Office Number:

Employee Telephone Number:
- -

Employment Status:
Temporary Staff   Permanent Staff   Consultant

Will this person be receiving an existing machine?
» Yes   No

If Yes, what is the H-Tag number of existing machine:

Will this person need a network account?
» Yes   No

What shared drives and/or department network folders, including group rights, will this person require?

Shared drives needed - e.g. "groups on 'ca1\uis-gen' (G:)':

Network folders/group rights needed:

Does this person need the same access as the person they are replacing?
» Yes   No

Name of person being replaced:
»

What department-specific software or applications, will this person require?

Please list name(s) of software needed:

Will this person require a VPN account?
Yes   No

Will this person require an email account?
» Yes   No

Will this person require a Harvard email alias (i.e. john_harvard@harvard.edu)?
Yes   No

Select Yes and enter the required Harvard ID number below.

Select No if the new person has not been assigned a Harvard ID number.

If selecting No, please request the Harvard email alias in the future via email to dls@harvard.edu including the person's name and Harvard ID number.

Note: There is a 24-hour turn around time for Harvard email alias creation.

Also Note: Harvard aliases are not automatically created for new employees. Please be sure your local web directory update contact person adds the Harvard alias to this person's directory information.

Employee Harvard ID#:

Will this person require a MeetingMaker account?
» Yes   No

Create a Connected DataProtector Backup account?
» Yes   No

Comments/Other Accounts/Office Furnishing Requests:

Press Submit to send this form.